The Travel Clinic
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Vaccine Recommendations |
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Regional Information |
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Please note: the information given here is for general guidance only, and may not apply to your own special circumstances! We strongly recommend consulting a suitably qualified specialist for personal advice.
 Europe
Travel is a good opportunity to update your protection against tetanus/diphtheria and polio; if it is more than ten years since your last booster, you should have one now. Diphtheria protection may be especially important if you are travelling to Eastern Europe or the countries of the former Soviet Union.
If you are travelling to southern or eastern Europe, and particularly if you will be swimming or diving in the Mediterranean, protection against typhoid and hepatitis A may be worthwhile.
The new, injected typhoid vaccine causes very little reaction compared with its predecessor, and is given as a single dose.
Hepatitis A vaccines provide long-term protection — at least ten years. The vaccine should ideally be given at least 2 weeks before travel; the initial dose provides protection for at least one year; a booster dose is needed between 6 and 12 months later in order to extend protection to ten years. A combined injection of hepatitis A and typhoid vaccines is available.
A new vaccine (Dukoral) against cholera and travellers’ diarrhoea may be suitable for some travellers.
If you will be walking or hiking in central, eastern and southern Europe, you may be at risk from tick-borne encephalitis, a viral infection spread by ticks; vaccination may be advisable.
It may be worth travelling with a medical kit containing common medicines.
Caribbean
Protection against tetanus/diphtheria is highly recommended; if it is more than ten years since your last booster, you should have one now. Polio has been eradicated from the region, though if it is more than ten years since your last polio booster, and you have plans to travel elsewhere, you may wish to consider having a booster dose now. We advise polio boosters for travellers to Haiti/Dominican Republic.
Protection against typhoid is also advisable. The new, injected typhoid vaccine causes very little reaction compared with its predecessor, and is given as a single dose.
Hepatitis A vaccines provide long-term protection — at least ten years. The vaccine should ideally be given at least 2 weeks before travel; the initial dose provides protection for at least one year; a booster dose is needed between 6 and 12 months later in order to extend protection to ten years. A combined injection of hepatitis A and typhoid vaccines is available.
A new vaccine (Dukoral) against cholera and travellers’ diarrhoea may be suitable for some travellers.
Malaria medication is only necessary for travel to Haiti and the Dominican Republic.
Dengue fever is an insect-borne virus that may be transmitted in most parts of the Caribbean. No vaccine is available, but insect repellents will considerably reduce the risk. Please ask us for further information.
We also advice you to travel with a medical kit containing items that may not easily be available at your destination.
Central & South America
Protection against tetanus/diphtheria is highly recommended; if it is more than ten years since your last booster, you should have one now. Polio has been eradicated from the region, though if it is more than ten years since your last polio booster, and you have plans to travel elsewhere, you may wish to consider having a booster dose now.
Protection against typhoid is also advisable. The new, injected typhoid vaccine causes very little reaction compared with its predecessor, and is given as a single dose.
Protection from hepatitis A is strongly recommended. Hepatitis A vaccines provide long-term protection — at least ten years. The vaccine should ideally be given at least 2 weeks before travel; the initial dose provides protection for at least one year; a booster dose is needed between 6 and 12 months later in order to extend protection to ten years. A combined injection of hepatitis A and typhoid vaccines is available.
You may need a yellow fever vaccination as a condition of entry; please give us your full itinerary including any transit points and onward destinations, so that we can advise you. You may also need vaccination for you own protection, particularly in the Amazon and Orinoco basins, and in regions that may not have a formal requirement for vaccination. There have been recent deaths from yellow fever in visitors.
Protection against rabies may also be a sensible precaution, because dog and animal bites are common in travellers, and because safe vaccines and good medical treatment may not be easily available at your destination.
For longer term or frequent visitors, hepatitis B should be considered.
A new vaccine (Dukoral) against cholera and travellers’ diarrhoea may be suitable for some travellers.
Malaria medication and careful anti-insect measures are essential for most destinations.
We also advice you to travel with a medical kit containing items that may not easily be available at your destination.
Asia
Protection against tetanus/diphtheria and polio is highly recommended; if it is more than ten years since your last booster, you should have one now.
Protection against typhoid is also advisable. The new, injected typhoid vaccine causes very little reaction compared with its predecessor, and is given as a single dose.
Protection against hepatitis A is strongly recommended. Hepatitis A vaccines provide long-term protection — at least ten years. The vaccine should ideally be given at least 2 weeks before travel; the initial dose provides protection for ay least one year; a booster dose is needed between 6 and 12 months later in order to extend protection to ten years. A combinedinjection of hepatitis A and typhoid vaccines is available.
Protection against rabies may also be a sensible precaution, because dog and animal bites are common in travellers, and because safe vaccines and good medical treatment may not be easily available at your destination.
Meningitis vaccination may be advisable for parts of India and Nepal.
You may need a yellow fever vaccination certificate if you are arriving in Asia directly from an infected region of Africa or South America.
Protection against Japanese encephalitis may be advisable for travellers to rural parts of Asia: please ask us for details.
For longer term or frequent visitors, hepatitis B vaccination should be considered.
A new vaccine (Dukoral) against cholera and travellers’ diarrhoea may be suitable for some travellers.
Malaria medication is not advised for Bangkok, Chiang Mai, Phuket and the other islands in the region; Singapore; Hong Kong; and Bali. It is present in many other parts of Asia, however, and malaria medication and careful anti-insect measures are essential for many other destinations in the region.Depending upon where you are going, there may be a high risk of food- and water-borne infection.
We also advice you to travel with a medical kit containing items that may not easily be available at your destination.
Africa
Protection against tetanus/diphtheria and polio is highly recommended; if it is more than ten years since your last booster, you should have one now.
Protection against typhoid is also advisable. The new, injected typhoid vaccine causes very little reaction compared with its predecessor, and is given as a single dose.
Vaccination against hepatitis A is strongly recommended. Hepatitis A vaccines provide long-term protection — at least ten years. The vaccine should ideally be given at least 2 weeks before travel; the initial dose provides protection for at least one year; a booster dose is needed between 6 and 12 months later in order to extend protection to ten years. A combined injection of hepatitis A and typhoid vaccines is available.
You may need a yellow fever vaccination as a condition of entry; please give us your full itinerary including any transit points and onward destination, so that we can advise you. You may also need vaccination for you own protection in a country that does not have a formal requirement for vaccination.
Protection against meningitis is advisable for travellers to countries in the Sahel - the region just south of the Sahara; and also to parts of East and Central Africa.
Protection against rabies may also be a sensible precaution, because dog and animal bites are common in travellers, and because safe vaccines and good medical treatment may not be easily available at your destination.
For longer term or frequent visitors, hepatitis B should be considered.
A new vaccine (Dukoral) against cholera and travellers’ diarrhoea may be suitable for some travellers.
Malaria medication and careful anti-insect measures are essential for most destinations.
We also advice you to travel with a medical kit containing items that may not easily be available at your destination.
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Copyright © Fleet Street Clinic 2010
29 Fleet Street, EC4Y 1AA London, United Kingdom
Tel: 020 7353 5678 . Fax: 020 7353 5500
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About the Travel Clinic 
Vaccine Information 